Benchmarking Adenoma Detection Rates for Colonoscopy: Results From a US-Based Registry.
Am J Gastroenterol
; 116(9): 1946-1949, 2021 09 01.
Article
em En
| MEDLINE
| ID: mdl-34158463
ABSTRACT
INTRODUCTION:
Adenoma detection rate (ADR) is highly variable across practices, and national or population-based estimates are not available. Our aim was to study the ADR, variability of rates over time, and factors associated with detection rates of ADR in a national sample of patients undergoing colonoscopy.METHODS:
We used colonoscopies submitted to the GI Quality Improvement Consortium, Ltd. registry from 2014 to 2018 on adults aged 50-89 years. We used hierarchical logistic models to study factors associated with ADR.RESULTS:
A total of 2,646,833 colonoscopies were performed by 1,169 endoscopists during the study period. The average ADR for screening colonoscopies per endoscopist was 36.80% (SD 10.21), 44.08 (SD 10.98) in men and 31.20 (SD 9.65) in women. Adjusted to the US population, the ADR was 39.08%. There was a significant increase in ADR from screening colonoscopies over the study period from 33.93% in 2014 to 38.12% in 2018.DISCUSSION:
The average ADR from a large national US sample standardized to the US population is 39.05% and has increased over time.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Adenoma
/
Colonoscopia
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Neoplasias do Colo
/
Detecção Precoce de Câncer
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Aged
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Aged80
/
Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Gastroenterol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos